Please complete the form below and upload a copy of your preliminary application.

All application materials should be combined into a single PDF (max size 10MB) named “PI lastname firstname RFA xx-x Preliminary Application.” Applications must be submitted online. Emailed applications will not be accepted. ᠎Applicants will be informed whether to submit a full application by early March 2026.

The preapplication form and instructions are on the Instructions and Forms webpage. Please note that the required font size is 11-point with 1-inch margins, single spaced.

Please select "send me a copy of responses via email" to document your submission. Once you submit the application a confirmation screen will appear. You may want to screenshot this confirmation. If you have any questions please contact us at funding@healtheffects.org.
᠎
Unconfirmed applications will not be considered.

Question Title

* 1. RFA Name

Question Title

* 2. PI First Name

Question Title

* 3. PI Last Name

Question Title

* 4. PI Email

Question Title

* 5. PI Title

Question Title

* 6. Contact name if not PI

Question Title

* 7. Contact Email if not PI

Question Title

* 8. Institution

Question Title

* 9. Application Title

Question Title

* 10. Full Names of Co-Investigators and their Affiliations

Question Title

* 11. Total Study Budget

Question Title

* 12. Study Duration

Question Title

* 13. Geographical Location of Study

Question Title

* 14. Upload your Preliminary Application Here
᠎
Please complete the form below and upload a copy of your preapplication. The preapplication form and instructions are on the Instructions and Forms webpage. Please note that the required font size is 11-point with 1-inch margins, single spaced.

All application materials must be turned into a single PDF not to exceed 10MB with appropriate bookmarks before uploading. The file must be named in this format: "PI lastname firstname RFA xx-x Preliminary Application."

T